NICOLE R. FORMWALT

MOBILE, AL
NPI1255675146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: AL  2227)
Enumeration Date2012-11-16
Last Update Date2012-11-16
Business Address
NICOLE R. FORMWALT LPC
7305 COTTAGE HILL RD
MOBILE, AL 36695-2829
Phone number: 251-422-2043
Mailing Address
NICOLE R. FORMWALT LPC
54 GLENWOOD ST
MOBILE, AL 36606-1905
Phone number: 251-476-7148
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